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HealthRX.com · Printable cost worksheet

GLP-1 monthly cost comparison worksheet

Write down every price route open to you for the same drug and dose, then compare them side by side: your plan after prior authorization, a savings card, a manufacturer's self-pay price, Medicare programs and patient assistance. Medicare and manufacturer figures are as published in 2026.

Companion to “Why Are GLP-1 Medications So Expensive in the US?” · healthrx.com/glp-1-questions/why-are-glp-1-medications-so-expensive-in-the-us · Facts checked 2026-10-19

The prescription you are pricing

Drug, form and dosefor example Wegovy pen 1.7 mg, Ozempic 1 mg, Zepbound KwikPen
Diagnosis written on the prescription
Coverage you haveemployer, individual, Medicare drug coverage, Medicaid, VA, TRICARE, none
Deductible left this year, and your coinsurance or copay for this tier

Price for one month by route

RoutePrice you pay per monthConditions or limitsDate checked and who told you
Plan coverage after prior authorization
Manufacturer savings card (commercial insurance only)
Manufacturer self-pay pharmacy
Medicare GLP-1 Bridge (Medicare drug coverage, weight reduction)
Patient assistance program (income-based)

Medicare prices CMS has published

  • Medicare's negotiated price for Ozempic, Rybelsus and Wegovy is $274 for a 30-day supply from January 1, 2027, against a $959 list price based on 2024 fills.[1]
  • In the Medicare GLP-1 Bridge, manufacturers supply eligible drugs at a net price of $245 per monthly supply, and the extended Bridge runs through December 31, 2027.[2]
  • The Bridge $50 copay does not count toward a person's Part D out-of-pocket costs.[2]
  • Since July 1, 2026, the Bridge has covered Foundayo, Wegovy injection or tablets, and the Zepbound KwikPen.[3]
  • Out-of-pocket costs for drugs a Part D plan covers are capped at $2,100 in 2026.[4]

Manufacturer self-pay prices (NovoCare Pharmacy, checked October 2026)

  • Wegovy pen, 0.25 mg to 2.4 mg: $349 a month after an introductory offer that runs through December 31, 2026; Wegovy HD 7.2 mg: $399 a month.[5]
  • Ozempic 0.25 mg, 0.5 mg or 1 mg: $349 a month after the introductory offer; Ozempic 2 mg: $499 a month.[5]

For scale: estimated cost-based price

  • A 2024 study estimated a sustainable cost-based price of $0.89 to $4.73 a month for injectable semaglutide at a defined daily dose of 0.77 mg a week.[6]

Questions for your plan, pharmacy or prescriber

  1. Is this drug covered for the diagnosis on my prescription, and is prior authorization needed?
  2. Would a different covered GLP-1 cost me less on this plan?
  3. Does my deductible apply before the plan pays, and what is the price until it is met?
  4. Can a savings card be used with my coverage, and what is its monthly limit?
  5. Is the self-pay price the same at every dose I will need?
  6. Do I meet the Medicare GLP-1 Bridge or a patient assistance program's rules?
Sources for the facts on this sheet
  1. Centers for Medicare & Medicaid Services. Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2027 (fact sheet). Accessed 2026-10-19. https://www.cms.gov/files/document/fact-sheet-negotiated-prices-ipay-2027.pdf
  2. Centers for Medicare & Medicaid Services. Information for Part D Plans | CMS (Medicare GLP-1 Bridge). Accessed 2026-10-19. https://www.cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge/information-part-d-plans
  3. Centers for Medicare & Medicaid Services, Medicare.gov. Weight loss drugs | Medicare. Accessed 2026-10-19. https://www.medicare.gov/coverage/weight-loss-drugs
  4. Centers for Medicare & Medicaid Services, Medicare.gov. Before using this payment option | Medicare. Accessed 2026-10-19. https://www.medicare.gov/prescription-payment-plan/before-payment-option
  5. Novo Nordisk Inc.. Get Your GLP-1 Medications Delivered with NovoCare® Pharmacy | NovoCare®. Accessed 2026-10-19. https://www.novocare.com/pharmacy.html
  6. Barber MJ, Gotham D, Bygrave H, Cepuch C. Estimated Sustainable Cost-Based Prices for Diabetes Medicines. JAMA Netw Open 2024. PMID 38536176. https://pubmed.ncbi.nlm.nih.gov/38536176/

This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.